Provider Demographics
NPI:1356513022
Name:BINIEWICZ MCLEAN, MARTA (LMFT)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:BINIEWICZ MCLEAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3053 HARRISON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-7950
Mailing Address - Country:US
Mailing Address - Phone:530-686-5330
Mailing Address - Fax:
Practice Address - Street 1:3053 HARRISON AVE STE 203
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-7950
Practice Address - Country:US
Practice Address - Phone:530-686-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist